Individual
CHARLES W BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1326 EISENHOWER DR BLDG 1, SAVANNAH, GA 31406-3928
(912) 691-4200
(912) 303-3506
Mailing address
PO BOX 6247, SNOWMASS VILLAGE, CO 81615-6247
(843) 816-4549
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
028509
GA
2085R0202X
Diagnostic Radiology Physician
19165
SC
2085R0202X
Diagnostic Radiology Physician
48081
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000321087G
—
GA
05
—
10025709000
—
NE
05
—
1285686766
—
MT
05
—
1285686766
—
WY
05
—
200627500A
—
KS
05
—
474618
—
AZ
05
—
47706252
—
NM
01
—
52237053005
BCBS
GA
05
—
84059792913
—
NE
05
—
84089712600
—
NE
05
—
85588555
—
CO
01
—
CO305925
MEDICARE MIC
CO
01
—
CO305926
MEDICARE RIA
CO
01
—
N355708
WELLCARE
GA
01
—
P00347630
RR MEDICARE
—
01
—
P00760022
RR MCR MIC
CO
Enumeration date
05/16/2006
Last updated
08/05/2022
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